TEST BANK: Concepts for Nursing Practice
g g g g g
, Conceptg01:gDevelopmentg
Giddens:gConceptsgforgNursinggPractice,g3rdgEditiong g
g
MULTIPLEgCHOICEg
g
1. Thegnursegmanagergofgagpediatricgclinicgcouldgconfirmgthatgthegnewgnursegrecognizedgtheg
purposegofgthegHEADSSgAdolescentgRiskgProfilegwhengthegnewgnursegrespondsgthatgitgisg
usedgtogassessgforgneedsgrelatedgtoga.ganticipatorygguidance.g
b. low-riskgadolescents.g
c. physicalgdevelopment.g
d. sexualgdevelopment.g
ANS:gAg
ThegHEADSSgAdolescentgRiskgProfilegisgagpsychosocialgassessmentgscreeninggtoolgwhichg
assessesghome,geducation,gactivities,gdrugs,gsex,gandgsuicidegforgthegpurposegofgidentifyingg
high-riskgadolescentsgandgthegneedgforganticipatorygguidance.gItgisgusedgtogidentifyghigh-
risk,gnotglow-
risk,gadolescents.gPhysicalgdevelopmentgisgassessedgwithganthropometricgdata.gSexualgdevel
opmentgisgassessedgusinggphysicalgexamination.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
2. Thegnursegpreparinggagteachinggplangforgagpreschoolergknowsgthat,gaccordinggtogPiaget,gth
egexpectedgstagegofgdevelopmentgforgagpreschoolergisga.gconcretegoperational.g
b. formalgoperational.g Ng
c. preoperational.g
d. sensorimotor.g
ANS:gCg
Thegexpectedgstagegofgdevelopmentgforgagpreschoolerg(3–4gyearsgold)gisgpre-
operational.gConcretegoperationalgdescribesgthegthinkinggofgagschool-agegchildg(7–
11gyearsgold).gFormalgoperationalgdescribesgthegthinkinggofgangindividualgaftergaboutg11gye
arsgofgage.gSensorimotorgdescribesgthegearliestgpatterngofgthinkinggfromgbirthgtog2gyearsgold
.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
3. Thegschoolgnursegtalkinggwithgaghighgschoolgclassgaboutgthegdifferencegbetweenggrowthgan
dgdevelopmentgwouldgbestgdescribeggrowthgasg
a. processesgbygwhichgearlygcellsgspecialize.g
b. psychosocialgandgcognitivegchanges.g
c. qualitativegchangesgassociatedgwithgaging.g
d. quantitativegchangesgingsizegorgweight.g
ANS:gDg
g
g
g
g
g
g
g
g
WWW.NURSYLAB.COMg
, Growthgisgagquantitativegchangegingwhichgangincreasegingcellgnumbergandgsizegresultsgingang
increasegingoverallgsizegorgweightgofgthegbodygorganygofgitsgparts.gThegprocessesgbygwhichge
arlygcellsgspecializegaregreferredgtogasgdifferentiation.gPsychosocialgandgcognitivegchangesga
regreferredgtogasgdevelopment.gQualitativegchangesgassociatedgwithgaginggaregreferredgtogasg
maturation.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
4. ThegmostgappropriategresponsegofgthegnursegwhengagmothergasksgwhatgthegDenvergIIgdoesg
isg
thatgitg
a. cangdiagnosegdevelopmentalgdisabilities.g
b. identifiesgagneedgforgphysicalgtherapy.g
c. isgagdevelopmentalgscreeninggtool.g
d. providesgagframeworkgforghealthgteaching.g
ANS:gCg
ThegDenvergIIgisgthegmostgcommonlygusedgmeasuregofgdevelopmentalgstatusgusedgbyghealth
caregprofessionals;gitgisgagscreeninggtool.gScreeninggtoolsgdognotgprovidegagdiagnosis.g
Diagnosisgrequiresgagthoroughgneurodevelopmentghistorygandgphysicalgexamination.gDevel
opmentalgdelay,gwhichgisgsuggestedgbygscreening,gisgagsymptom,gnotgagdiagnosis.gThegneed
gforganygtherapygwouldgbegidentifiedgwithgagcomprehensivegevaluation,gnotgagscreeninggtool
.gSomegprovidersgusegthegDenvergIIgasgagframeworkgforgteachinggaboutgexpectedgdevelopm
ent,gbutgthisgisgnotgthegprimarygpurposegofgthegtool.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
5. TogplangearlyginterventionganNdgcaregforganginfantgwithgDowngsyndrome,gthegnursegconsid
ersgknowledgegofgothergphysicalgdevelopmentgexemplarsgsuchgasga.gcerebralgpalsy.g
b. autism.g
c. attention-deficit/hyperactivitygdisorderg(ADHD).g
d. failuregtogthrive.g
ANS:gDg
Failuregtogthrivegisgalsogagphysicalgdevelopmentgexemplar.gCerebralgpalsygisgangexemplargo
fgmotor/developmentalgdelay.gAutismgisgangexemplargofgsocial/emotionalgdevelopmentalgde
lay.gADHDgisgangexemplargofgagcognitivegdisorder.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
6. Togplangearlyginterventiongandgcaregforgagchildgwithgagdevelopmentalgdelay,gthegnursegwou
ldgconsidergknowledgegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment,ginclu
dingga.gculture.g
b. environment.g
c. functionalgstatus.g
d. nutrition.g
ANS:gCg
g
g
g
g
g
g
Functiongisgonegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment.gOthersginclu
degsensory-
, perceptual,gcognition,gmobility,greproduction,gandgsexuality.gKnowledgegofgthesegconceptsg
canghelpgthegnurseganticipategareasgthatgneedgtogbegaddressed.gCulturegisgagconceptgthatgisgc
onsideredgtogsignificantlygaffectgdevelopment;gthegdifferencegisgthegconceptsgthatgaffectgdev
elopmentgaregthosegthatgrepresentgmajorginfluencinggfactorsg(causes);ghencegdeterminationg
ofgdevelopmentgwouldgbegthegfocusgofgpreventiveginterventions.gEnvironmentgisgconsidered
gtogsignificantlygaffectgdevelopment.gNutritiongisgconsideredgtogsignificantlygaffectgdevelop
ment.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
7. Agmothergcomplainsgtogthegnursegatgthegpediatricgclinicgthatgherg4-year-
oldgchildgalwaysgtalksgtoghergtoysgandgmakesgupgstories.gThegmothergwantsghergchildgtogha
vegagpsychologicalgevaluation.gThegnurse’sgbestginitialgresponsegisgtog
a. refergthegchildgtogagpsychologistgimmediately.g
b. explaingthatgplayinggmakegbelievegisgnormalgatgthisgage.g
c. completegagdevelopmentalgscreeninggusinggagvalidatedgtool.g
d. separategthegchildgfromgthegmothergtoggetgmoreginformation.g
ANS:gBg
Bygthegendgofgthegfourthgyear,gitgisgexpectedgthatgagchildgwillgengagegingfantasy,gsogthisgisgn
ormalgatgthisgage.gAgreferralgtogagpsychologistgwouldgbegprematuregbasedgonlygongthegcomp
laintgofgthegmother.gCompletinggagdevelopmentalgscreeninggwouldgbegverygappropriategbutg
notgtheginitialgresponse.gThegnursegwouldgcertainlygwantgtoggetgmoreginformation,gbutgsepar
atinggthegchildgfromgthegmothergisgnotgnecessarygatgthisgtime.g
g
OBJ:gNCLEXgClientgNeedsNCategory:gHealthgPromotiongandgMaintenanceg
8. Ag17-year-
oldggirlgisghospitalizedgforgappendicitis,gandghergmothergasksgthegnursegwhygshegisgsogneed
ygandgactingglikegagchild.gThegbestgresponsegofgthegnursegisgthatgingtheghospital,gadolescent
sg
a. havegseparationganxiety.g
b. rebelgagainstgrules.g
c. regressgbecausegofgstress.g
d. wantgtogknowgeverything.g
ANS:gCg
Regressiongtogangearliergstagegofgdevelopmentgisgagcommongresponsegtogstress.gSeparationg
anxietygisgmostgcommonginginfantsgandgtoddlers.gRebelliongagainstghospitalgrulesgisgusually
gnotgangissuegifgthegadolescentgunderstandsgthegrulesgandgwouldgnotgcreategchildlikegbehavi
ors.gAngadolescentgmaygwantgtog“knowgeverything”gwithgtheirglogicalgthinkinggandgdeducti
vegreasoning,gbutgthatgwouldgnotgexplaingwhygtheygwouldgactglikegagchild.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
g
g
g
g
g
g
g
g
g
WWW.NURSYLAB.COMg
g g g g g
, Conceptg01:gDevelopmentg
Giddens:gConceptsgforgNursinggPractice,g3rdgEditiong g
g
MULTIPLEgCHOICEg
g
1. Thegnursegmanagergofgagpediatricgclinicgcouldgconfirmgthatgthegnewgnursegrecognizedgtheg
purposegofgthegHEADSSgAdolescentgRiskgProfilegwhengthegnewgnursegrespondsgthatgitgisg
usedgtogassessgforgneedsgrelatedgtoga.ganticipatorygguidance.g
b. low-riskgadolescents.g
c. physicalgdevelopment.g
d. sexualgdevelopment.g
ANS:gAg
ThegHEADSSgAdolescentgRiskgProfilegisgagpsychosocialgassessmentgscreeninggtoolgwhichg
assessesghome,geducation,gactivities,gdrugs,gsex,gandgsuicidegforgthegpurposegofgidentifyingg
high-riskgadolescentsgandgthegneedgforganticipatorygguidance.gItgisgusedgtogidentifyghigh-
risk,gnotglow-
risk,gadolescents.gPhysicalgdevelopmentgisgassessedgwithganthropometricgdata.gSexualgdevel
opmentgisgassessedgusinggphysicalgexamination.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
2. Thegnursegpreparinggagteachinggplangforgagpreschoolergknowsgthat,gaccordinggtogPiaget,gth
egexpectedgstagegofgdevelopmentgforgagpreschoolergisga.gconcretegoperational.g
b. formalgoperational.g Ng
c. preoperational.g
d. sensorimotor.g
ANS:gCg
Thegexpectedgstagegofgdevelopmentgforgagpreschoolerg(3–4gyearsgold)gisgpre-
operational.gConcretegoperationalgdescribesgthegthinkinggofgagschool-agegchildg(7–
11gyearsgold).gFormalgoperationalgdescribesgthegthinkinggofgangindividualgaftergaboutg11gye
arsgofgage.gSensorimotorgdescribesgthegearliestgpatterngofgthinkinggfromgbirthgtog2gyearsgold
.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
3. Thegschoolgnursegtalkinggwithgaghighgschoolgclassgaboutgthegdifferencegbetweenggrowthgan
dgdevelopmentgwouldgbestgdescribeggrowthgasg
a. processesgbygwhichgearlygcellsgspecialize.g
b. psychosocialgandgcognitivegchanges.g
c. qualitativegchangesgassociatedgwithgaging.g
d. quantitativegchangesgingsizegorgweight.g
ANS:gDg
g
g
g
g
g
g
g
g
WWW.NURSYLAB.COMg
, Growthgisgagquantitativegchangegingwhichgangincreasegingcellgnumbergandgsizegresultsgingang
increasegingoverallgsizegorgweightgofgthegbodygorganygofgitsgparts.gThegprocessesgbygwhichge
arlygcellsgspecializegaregreferredgtogasgdifferentiation.gPsychosocialgandgcognitivegchangesga
regreferredgtogasgdevelopment.gQualitativegchangesgassociatedgwithgaginggaregreferredgtogasg
maturation.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
4. ThegmostgappropriategresponsegofgthegnursegwhengagmothergasksgwhatgthegDenvergIIgdoesg
isg
thatgitg
a. cangdiagnosegdevelopmentalgdisabilities.g
b. identifiesgagneedgforgphysicalgtherapy.g
c. isgagdevelopmentalgscreeninggtool.g
d. providesgagframeworkgforghealthgteaching.g
ANS:gCg
ThegDenvergIIgisgthegmostgcommonlygusedgmeasuregofgdevelopmentalgstatusgusedgbyghealth
caregprofessionals;gitgisgagscreeninggtool.gScreeninggtoolsgdognotgprovidegagdiagnosis.g
Diagnosisgrequiresgagthoroughgneurodevelopmentghistorygandgphysicalgexamination.gDevel
opmentalgdelay,gwhichgisgsuggestedgbygscreening,gisgagsymptom,gnotgagdiagnosis.gThegneed
gforganygtherapygwouldgbegidentifiedgwithgagcomprehensivegevaluation,gnotgagscreeninggtool
.gSomegprovidersgusegthegDenvergIIgasgagframeworkgforgteachinggaboutgexpectedgdevelopm
ent,gbutgthisgisgnotgthegprimarygpurposegofgthegtool.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
5. TogplangearlyginterventionganNdgcaregforganginfantgwithgDowngsyndrome,gthegnursegconsid
ersgknowledgegofgothergphysicalgdevelopmentgexemplarsgsuchgasga.gcerebralgpalsy.g
b. autism.g
c. attention-deficit/hyperactivitygdisorderg(ADHD).g
d. failuregtogthrive.g
ANS:gDg
Failuregtogthrivegisgalsogagphysicalgdevelopmentgexemplar.gCerebralgpalsygisgangexemplargo
fgmotor/developmentalgdelay.gAutismgisgangexemplargofgsocial/emotionalgdevelopmentalgde
lay.gADHDgisgangexemplargofgagcognitivegdisorder.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
6. Togplangearlyginterventiongandgcaregforgagchildgwithgagdevelopmentalgdelay,gthegnursegwou
ldgconsidergknowledgegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment,ginclu
dingga.gculture.g
b. environment.g
c. functionalgstatus.g
d. nutrition.g
ANS:gCg
g
g
g
g
g
g
Functiongisgonegofgthegconceptsgmostgsignificantlygimpactedgbygdevelopment.gOthersginclu
degsensory-
, perceptual,gcognition,gmobility,greproduction,gandgsexuality.gKnowledgegofgthesegconceptsg
canghelpgthegnurseganticipategareasgthatgneedgtogbegaddressed.gCulturegisgagconceptgthatgisgc
onsideredgtogsignificantlygaffectgdevelopment;gthegdifferencegisgthegconceptsgthatgaffectgdev
elopmentgaregthosegthatgrepresentgmajorginfluencinggfactorsg(causes);ghencegdeterminationg
ofgdevelopmentgwouldgbegthegfocusgofgpreventiveginterventions.gEnvironmentgisgconsidered
gtogsignificantlygaffectgdevelopment.gNutritiongisgconsideredgtogsignificantlygaffectgdevelop
ment.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
7. Agmothergcomplainsgtogthegnursegatgthegpediatricgclinicgthatgherg4-year-
oldgchildgalwaysgtalksgtoghergtoysgandgmakesgupgstories.gThegmothergwantsghergchildgtogha
vegagpsychologicalgevaluation.gThegnurse’sgbestginitialgresponsegisgtog
a. refergthegchildgtogagpsychologistgimmediately.g
b. explaingthatgplayinggmakegbelievegisgnormalgatgthisgage.g
c. completegagdevelopmentalgscreeninggusinggagvalidatedgtool.g
d. separategthegchildgfromgthegmothergtoggetgmoreginformation.g
ANS:gBg
Bygthegendgofgthegfourthgyear,gitgisgexpectedgthatgagchildgwillgengagegingfantasy,gsogthisgisgn
ormalgatgthisgage.gAgreferralgtogagpsychologistgwouldgbegprematuregbasedgonlygongthegcomp
laintgofgthegmother.gCompletinggagdevelopmentalgscreeninggwouldgbegverygappropriategbutg
notgtheginitialgresponse.gThegnursegwouldgcertainlygwantgtoggetgmoreginformation,gbutgsepar
atinggthegchildgfromgthegmothergisgnotgnecessarygatgthisgtime.g
g
OBJ:gNCLEXgClientgNeedsNCategory:gHealthgPromotiongandgMaintenanceg
8. Ag17-year-
oldggirlgisghospitalizedgforgappendicitis,gandghergmothergasksgthegnursegwhygshegisgsogneed
ygandgactingglikegagchild.gThegbestgresponsegofgthegnursegisgthatgingtheghospital,gadolescent
sg
a. havegseparationganxiety.g
b. rebelgagainstgrules.g
c. regressgbecausegofgstress.g
d. wantgtogknowgeverything.g
ANS:gCg
Regressiongtogangearliergstagegofgdevelopmentgisgagcommongresponsegtogstress.gSeparationg
anxietygisgmostgcommonginginfantsgandgtoddlers.gRebelliongagainstghospitalgrulesgisgusually
gnotgangissuegifgthegadolescentgunderstandsgthegrulesgandgwouldgnotgcreategchildlikegbehavi
ors.gAngadolescentgmaygwantgtog“knowgeverything”gwithgtheirglogicalgthinkinggandgdeducti
vegreasoning,gbutgthatgwouldgnotgexplaingwhygtheygwouldgactglikegagchild.g
g
OBJ:gNCLEXgClientgNeedsgCategory:gHealthgPromotiongandgMaintenanceg
g
g
g
g
g
g
g
g
g
g
WWW.NURSYLAB.COMg
